Call Us Today:
949.200.1600

Merkel Cell Carcinoma

Home > Diagnosis > Uncommon Skin Cancers > Merkle Cell Carcinoma

Skin-Cancer-Specialists-Uncommon-Skin-Cancers-Merkle-Cell-Carcinoma-Skin-Cancer-and-Reconstructive-Surgery-Center-Orange-County

ABOUT MERKLE CELL CARCINOMA

SCARS of Newport Beach offers patients Merkel cell carcinoma treatment after appropriate diagnosis.

Merkel cell carcinoma is an aggressive cancer of the skin that occurs in the elderly and primarily in sun exposed areas.  The classic Merkel cell carcinoma is characterized by aggressive local behavior and intradermal metastases. The metastases can appear several centimeters from the area of the original tumor.  The diagnosis is made with a simple biopsy. Workup of Merkel cell carcinoma requires imaging with MRI and CT/PET scans and possible sentinel lymph node biopsy.

 

Treatment of Merkel cell carcinoma includes wide local resection with 1 cm margins.  In larger tumors even wider margins such as 2 cm are indicated.  Postoperative radiation therapy is frequently required in Merkel cell carcinomas.  Merkel cell carcinomas are uniquely radiosensitive and can also be treated primarily with radiation therapy.  However, the optimal treatment is surgical resection with postoperative radiation therapy.  The hallmark of Merkel cell carcinoma is recurrence several centimeters away from primary treatment site in multiple clusters of intradermal spread.

 

Orange County patients and physicians should contact our office for further information.

Related Articles

Intralesional 5-fluorouracil for Cutaneous BCC and SCC
HISTORY  An 86-year-old man on hemodialysis with multiple medical problems and on warfarin presented with two carcinomas of the nasal tip: BCC of the left nasal tip and SCC of the right nasal tip. The ulceration of the right SCC exposed the alar cartilage. Patient completed six (6) 5-fluorouracil injections over a 5-week period. Complete…
Read More
Nasal Open Wound Complication
HISTORY A 73-year-old man with BCC of the nasal tip presented 1 week following Mohs excision. His reconstruction was delayed for an additional week for a cardiac work up. Nasal reconstruction was performed with a superior extended nasal myocutaneous flap (SENMI flap) and nasal septal cartilage grafts. The patient developed nasal tip incisional discharge 1…
Read More
Sentinel Lymph Node Biopsy for Cutaneous SCC
HISTORY A 58-year-old kidney transplant recipient presented with a 6-month history of squamous cell carcinoma of the left scalp. This large lesion was adjacent to the scar of a previous carcinoma excision in 2014. Patient is on sirolimus for his kidney transplant performed in 1984. He has had multiple BCCs and SCCs of scalp, back,…
Read More
Near-Infrared Laser Lymphangiography Sentinel Lymph Node Biopsy for Melanoma
HISTORY A 61-year-old male presents for 1.5 cm malignant melanoma of left posterior shoulder invading to at least 1.2 mm (Clark’s Level IV) on a shave biopsy. Left shoulder melanoma was excised, and a left axillary sentinel lymph node was biopsied. Small focus of residual melanoma was found in the primary site, but none in…
Read More
Recurrent BCC of the External Ear After Radiation
HISTORY A 77-year-old man presents with 5-year history of infiltrative basal cell carcinoma (BCC) of the left ear fossa triangularis and root of helix. The area was originally treated with four weeks of radiation in 2014, complicated by temporary ulceration and healing with adhesion. When the area developed crusting a couple of years later, the…
Read More
Lethal Squamous Cell Carcinoma of the Forearm in a Lung Transplant Recipient
HISTORY A 71-year-old lung transplant recipient presented with a recurrence of left dorsal forearm and wrist Squamous Cell Carcinoma (SCC) after Mohs excision in 2016 performed elsewhere. The patient underwent Mohs excision with clear margins and additional deeper wide local resection with no carcinoma identified. Patient was referred for radiation oncology evaluation, but he was…
Read More

STAY UP TO DATE

Receive research updates, inspiring stories, healthy living tips and more.

Something went wrong. Please check your entries and try again.

FOLLOW US

ELEVATING THE STANDARDS OF SKIN CANCER MANAGEMENT.

© 2018 SCARS Management Services. All rights reserved.